U.S. Renal Care East Portland Home Dialysis
LBN: East Portland Peritoneal Dialysis Clinic, Llc
U.S. Renal Care East Portland Home Dialysis is an health care organization with primary practice located at 10802 Se Washington St , Portland OR 97216-3118. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty.
East Portland Peritoneal Dialysis Clinic, Llc can be contacted via phone (503) 254-4426, or through Weinberg, Thomas L. via phone (214) 736-2700.
Contact Information
Primary practice address
10802 Se Washington St
Portland OR 97216-3118
Phone: (503) 254-4426
Fax: (503) 254-4135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | 394016 | Oregon |
Profile Details
| NPI number | 1093786782 |
|---|---|
| LBN Legal business name | East Portland Peritoneal Dialysis Clinic, Llc |
| DBA Doing business as | U.S. Renal Care East Portland Home Dialysis |
| Authorized official | Weinberg, Thomas L. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jun 28th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093786782 | NPPES |
| Oregon | MEDICAID | 273929 |
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